Page 20 - Healing Voices_za sajt

Healing Voices

Central Nervous System Cognitive and mental status changes Motor and sensory neuropathies related to trauma Vitamin deficiencies or other diseases Damage to individual nerves or groups of nerves Cranial nerve deficits Increased sensitivity to pain Numbness Increased sensitivity to the senses and/ or change in position and temperature

Genitourinary System In females Bruises, cuts, tears Bleeding or vaginal discharge Sexually transmitted infections (including human immunodeficiency virus) Scarring and deformity In males Pain and sensitivity Collection of blood or fluid in the scrotum Testicular torsion Erectile dysfunction Shrinkage of the testicles and scarring Anal region: fissures, rectal tears, scarring, skin tags and drainage

(adapted, Piwowarczyk et al., 2000) Table 1. Some Common Physical Findings in Torture Survivors Musculoskeletal Chest/ System Abdomen Musculoskeletal Lesions of the aches and pains skin Changes in Pain, tenderness mobility of joints and discomfort related to Pain with motion, injuries of the chronic loss of muscles, ribs joint motion due to or abdominal structural changes organs in nonbony tissue Retroperitoneal, Strength changes

Evidence of fracture, swelling nerves dislocation of the lens, visual loss Ears: eardrum rupture, the ear Nose: alignment and deviation of the nasal septum Jaw, oropharynx, neck: of teeth, broken teeth, dislocated fillings and and lesions

Face or pain; examination of all Eyes: bleeding in the eye or its support structures, hearing loss, drainage from dislocation or fracture of the jaw, temporomandibular joint syndrome, disturbance of the voice box, bleeding or inflammation of the gums Oral cavity/teeth: removal broken prostheses, dental cavities, gum inflammation

Generalized skin disease including signs of vitamins A, B and C deficiencies Pretorture lesions Lesions inflicted by torture, such as bruises, cuts, burns from cigarettes or Electrical injuries Baldness Nail removal Lesions (localizations, symmetry, shape, size, color and surface)
Skin puncture wounds, heated instruments

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